HomeMy WebLinkAbout2011-08-05 Summit Fire Protection Report of Inspection SUIVEVIlit FIRE PROTECTION
575 MINNEHAHAAVE. W • ST. PAUL, MN 55103 • (651) 251 -1880 3026 40TH AVBFNW • ROCHESTER, MN 55901 • (507) 280 -0622
418 GREAT OAK DR., WAITE PARK, MN 56387 +,.:.•(320) 257 -6390 760 LIBERTY WAY NOR T IBPRTY IA 52317 • (319) 665 -4330
4. 4208 ENTERPRISE CIRCLE • DULUTH, MN 55811 • (218) 740 -4412
v SHEET 1 OF 2 - Use separate sheet for each building inspection
;ti REPORT OF INSPECTION
MINNESOTA LICENSE NO. C0075 `` JOB NUMBER /
/
INSPECTION NAME fuC / f 4 BUILDING/LOCATION S 4/72.E-
STREET ;1 _ . C tv1rL_ . r; i " INSPECTOR
o
CITY & STATE 04 K. Pp 414. Ils- Aersii —S 1 /IV DATE e -5
Owner's Section (to be answered by Owner or Occupant) 1
A. Explain any occupancy hazard changes since the.previous inspection:
B. Describe fire protection modifications made since last inspection: ‘/'
C. Describe any fires since last inspection: Li
D. When was the system piping las checked • r stoppa _e, corrosion of f 'reign material? 7
E. I en was th :.- - piping sys last ch • : • . Ter pitch?
�'' dry v . ' , s ' uatel . '• tected fro` - zing? :�� E)==:
a �► i i e ` /�' /- Date
% _ ___ /
Inspector's Section (All responses ref rence current inspection) NA =NOT APPLICABLE
1. General
a. Is the building occupied ? .'es ❑ No
b. Are all systems in service? Wes ❑ No
c. Is there a minimum of 18 M. (457 mm) clearance between the top of the storage and the sprinkler deflectors ?1&Yes D No
d. Does all electrical heat tape appear to be satisfactory? ❑Yes ❑ No,BNA
e. Does the hand hose or standpipe on the sprinkler system(s) appear to be satisfactory? ❑Yes ❑ NA
2. Control Valves (See Item 15.)
$ Are all sprinkl system control valves and all other valves in the a exk . • c des 11 No
b. Are all control valves in the open position locked, sealed or equip wi m er sw ' • es ❑ No -
3. Tanks, Pumps, Fire Department Connections
a. When was fire pump last tested for performance?
NJA
b. Are fire pumps, gravity tanks, reservoirs and pressure tanks in good condition and properly maintained? ❑Yes 0 NoNA
c. Are fire department connections in satisfactory condition, couplings free, caps in place, and check valves tight ?1Yes ❑ No 0 NA
Are they accessible and visible? es ❑ No ❑ NA
4. Wet Systems
a. Are cold weather valves • .S.. . '.) i e appropriate open or closed position? ❑Yes ❑ No,NA
b. Have antifreeze syste i s lu s in .: - n sted? ❑Yes ❑ No XPNA
c. What temp is antifree • . a
d. In areas protected by I -. s . - s), •• s the buildindWto be properly heated in all areas, including blind attics and perimeter areas
where accessible? - 1 ' o - A
5. Dry System (See m 11 to 1 i
a. Are dry valve(s) in service? ies 0 No ❑ NA
b. Are the air pressures and priming water levels in accordance with the manufacturer's instructions?'es 0 No ❑ NA
c. Has the operation of the air or nitrogen supplies been tested ?1es 0 No ❑ NA Are iey in service? pies CI No ❑ NA
d. Were low points drained during this inspection ?fixes ❑ No ❑ NA How many? �S
e. Did quick- opening devices operate satisfactorily? ❑Yes ❑ No A
f. Did the dry valve(s) trip properly during the trip pressure test? es ❑ No 0 NA
g. Did the heating equipment in the dry-pipe valve room(s) operate at time of inspection ? 1 1il:Ves ❑ No 0 NA
6. Special Systems (See Item 14.)
a. Did the deluge or pre-acti . , val . • • rate properly during testing? ❑Yes ❑ No ❑ NA
b. Did the heat - responsive • t. val ...
. operly during testing? OYes ❑ No ONA
c. Did supervisory devices o . - , 7 1 testing? ❑Yes ❑ No ❑ NA
d. Did flow for kitchen h. • 1 - y 1 off gas or electric? ❑Yes ❑ No D
7. Alarms
a. Did water motor(s) and gong(s) test satisfactorily? ❑Yes ❑ No 1ifNA
a Y
b. Did electric alarm(s) test satisfactorily? es ❑ No 0 NA
c. Did supervisory alarm service test satisfactorily? • es 0 No ❑ NA S -Axl
4. Did tamper switches test satisfactorily? DYes ❑ NoiA
8. Sprinklers
a. Are all sprinklers free from corrosion, loading or obstruction to spray discharge? Wes ❑ No
b. Are sprinklers less than 50 years old? (Older sprinklers require sample testing)'QYes ❑No
c. Are quick response and residential sprinklers less than 20 years old? (Older sprinklers require sample testingliWYes ❑ No
d. Is stock of spare sprinklers available? ADYes ❑ No
e. Does the exterior condition of sprinkler system appear to be sati tory? ,mites 0 No
f. Are sprinklers of •). r temperature ra ' • • • • • their locations? es ❑ No
g. Are any spri' - r h . ds • • . a recall lis °' D No �•--
Si .� ?Y /S► d Date: ' --
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A.
SUMMIT.FIRE PROTECTION
575 Minnehaha Ave. W. • St. Paul, MN 55103 • 651-251-1880 3026 40th Aik. NW • Rochester, MN 55901 • 507- 280 -0622
418 Great Oak Dr. • Waite Park, MN 56387 • 320 - 25790 760 Liberty Way • North Liberty, IA 52317 • 319 - 665 -4330
1 08 Enterprise Circle • Duluth, MN 55811 • 218 - 740=4412
t) u
I E 1 2 OF 2 - U4,Lersteet for each system inspection F Type of System ;iv —" bi e r
Inspection Name S 4 . t How Many?
p
Inspection Work Order ! 2/ (Pt What. Size?
larm Check , h
9. Date dry-pipe valve trip tested (control valve partially open) i t r A +_ ' i( (see Trip Test Table which follows)
10. Date dry-pipe valve trip tested (control valve fully open) (see Trip Test Table which follows)
s
11. Date quick - opening device tested Nf (see Trip Test Table which follows)
vt
DRY VALVE TRIP TEST TABLE Q.O.D.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
DRY PIPE Tune to Trip Ti
Trip Point me Water Reached Alarm Operated
Water Pressure Atr Pressure
OPERATING Thin Test Fife Air Pressure Test Outlet y
Min.. Sec. PSI k PSI PSI . Min. Sec. Yea No
o r . y . /6' 38- i r
Q.O.D.
12 Dat or preaction valve tested A (see Trip Test Table which follows)
TRIP TEST TABLE
Operation ❑ Pneumatic ❑ Electric • ' , 'c
Piping Supervised ❑ Yes ❑ No Detecting Media Supervised ❑ Yes ❑ No
DELUGE & Does valve operate from the manual trip and/or remote control star ❑ Yes ❑ No
PREACTION
VALVES Is there an accessible facility in each circuit for testin: ❑ Yes ❑ No Method of Testing Circuits:
MAKE MODEL D ' E.ach Circuit Operate Does Each Circuit . Maximum Time to
. LostGAAhum Operate Valve slue Releaser Release?
IS es ❑ No ['Yes ❑ No 0 ❑ No
13. See Control Valve Maintenance Table CONTROL VALVE MAINTENANCE TABLE
CONTROL VALVES NUMBER SIZE & TYPE OPEN SECURED CLOSED SIGNS EXPLAIN ABNORMAL CONDITIONS
City Connection Control Valve
Joekay Control Valve
PuiControl Valves
Additional. Pump Control Valves
Test Header
Sectional Control Valves / /
System Control Valves ). f U f J � r ��
/
Other Control Valves J LfM�
Kitchen Control Valves
'Water Flow Test at Sprinkler
Water Supply Source: ilf Well Tank Pump
DATE TEST PIPE LOCATION SIZE OF TEST PIPE l`" STATIC P RESSURE RESIDUAL (lrl.Ow) D IFFERENTIAL
PRE TEST POST' y - ' Q C> o� e2 v /4� 4.Y PRESSURE f j
Last Water Flow Test
This Water Flow Test ? ii /co 7 6 `e ms e � Q
14. Explain any "No" answers and comments: 05) 4 4E[4L it CSC G6 P A%3 J ri 1 '
ICI S /J '7 5 p,1 f (& j e - /-' - '6,&)
c r
1 reilt. ScJ r 0 Oi Gor.) Ai • 1 /
�'�ir OR.
1
Print Name l gb Signs r '' 4 s D ate �_✓ -/r